normal Ranges of BMI
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< 18.5 : Underweight
18.5-25 : Normal
25-30: Over weight
30-35: Obese
>35 Morbidly obese
Wound Stage 1
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, -Skin still intact, reddened, non-blanchable (pressed area doesn't turn
white, which it should)
-Commonly a superficial skin injury
What is the best way to determine a patients pain level?
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Won-bakers Faces Pain Scale- Peds
Numeric Pain scale: Adults
Signs of Dehydration
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low urine output
headache
dizziness
poor skin elasticity
What is is the first system the nurse will assess during a head to toe assessment
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, Introduction
Ask patient name and DOB
Explain the procedure youre doing
Ask if the patient is feeling okay or if there are any concerns
Interventions for Wound stage 1:
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Reposition every 2 hours or as needed, turn off/away from the area of
concern, use cream
IADL'S
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- Cooking
- Housekeeping
- Paying bills/finances
- Laundry
- Shopping
- Transportation
- Medication management
Cold Therapy (We use this first)
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< 18.5 : Underweight
18.5-25 : Normal
25-30: Over weight
30-35: Obese
>35 Morbidly obese
Wound Stage 1
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, -Skin still intact, reddened, non-blanchable (pressed area doesn't turn
white, which it should)
-Commonly a superficial skin injury
What is the best way to determine a patients pain level?
Give this one a try later!
Won-bakers Faces Pain Scale- Peds
Numeric Pain scale: Adults
Signs of Dehydration
Give this one a try later!
low urine output
headache
dizziness
poor skin elasticity
What is is the first system the nurse will assess during a head to toe assessment
Give this one a try later!
, Introduction
Ask patient name and DOB
Explain the procedure youre doing
Ask if the patient is feeling okay or if there are any concerns
Interventions for Wound stage 1:
Give this one a try later!
Reposition every 2 hours or as needed, turn off/away from the area of
concern, use cream
IADL'S
Give this one a try later!
- Cooking
- Housekeeping
- Paying bills/finances
- Laundry
- Shopping
- Transportation
- Medication management
Cold Therapy (We use this first)
Give this one a try later!
